## Facts

- A Virginia shopkeeper exchanged gunfire with an assailant during an attempted robbery.
- Rudolph Lee, Jr. was later found about eight blocks away with a gunshot wound and was charged with attempted robbery, malicious wounding, and firearm offenses.
- The Commonwealth sought a court order compelling surgery to remove a bullet lodged under Lee’s left collarbone for use as evidence.
- Based on initial medical testimony, the state court authorized the procedure as a minor incision under local anesthesia with minimal risk.
- Shortly before the scheduled operation, new X-rays showed the bullet was lodged substantially deeper than believed, and the surgeon indicated general anesthesia would be desirable.
- After further state-court proceedings, Lee obtained a permanent federal injunction barring the surgery on Fourth Amendment grounds; the court of appeals affirmed.

## Issues

1. Whether the Fourth Amendment permits a State to compel a suspect to undergo surgery beneath the skin to recover evidence of a crime.
2. How courts should balance bodily integrity and medical risk against the government’s evidentiary interest when evaluating compelled bodily intrusions.

## Decision

- The Supreme Court affirmed the injunction barring the operation.
- The Court held that compelled surgical intrusion into the body to obtain evidence implicates privacy and security interests so substantial that it may be unreasonable even if it would likely produce evidence.
- Applying a case-specific balancing test, the Court concluded the proposed surgery here would be an unreasonable search under the Fourth Amendment.

## Legal Principles

- The reasonableness of compelled bodily intrusions is assessed case by case by weighing an individual’s privacy, bodily integrity, and medical safety against the government’s need for the evidence.
- Surgical procedures beneath the skin are materially more invasive than routine bodily testing and carry greater constitutional weight because of their affront to personal security and dignity.
- The government must show a strong, particularized need for the evidence when the proposed search involves significant medical intrusion or risk, especially where alternative evidence is available.
- Fourth Amendment analysis in this setting does not yield categorical rules; it depends on the procedure’s medical necessity, risks (including anesthesia), degree of intrusion, and the evidentiary value and necessity of the item sought.

## Conclusion

The Court held that forcing a suspect to undergo nontrivial surgery under general anesthesia to obtain a bullet was an unreasonable Fourth Amendment search where the intrusion and risks to bodily integrity outweighed the State’s need for the evidence, given the availability of other proof.


Winston v. Lee, 470 U.S. 753 (1985)